A Study of Gimistotug (BGB-A445) in Combination With Other Investigational Agents in Participants With Non-Small Cell Lung Cancer

NCT ID: NCT06029127

Last Updated: 2026-01-05

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-23

Study Completion Date

2024-12-31

Brief Summary

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The main objective of this study was to evaluate the anti-tumor activity of gimistotug (BGB-A445) plus investigational agents in participants with non-small cell lung cancer (NSCLC).

Detailed Description

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This study tested whether gimistotug in combination with other agents could help treat participants with non-small cell lung cancer (NSCLC) who were already treated with other anticancer agents, including anti-programmed cell death protein-1 (anti-PD-1) and anti-programmed cell death protein ligand-1 (anti-PD-L1) antibodies and platinum-based chemotherapy. The main goal of this study was to see if gimistotug could increase participant response to treatment, also called the overall response rate.

Only a portion of patients with advanced solid tumors have a durable response to currently available treatments. This represents an unmet medical need to develop improved therapeutic options. Combining immunotherapies with agents having different mechanism of action might improve outcomes for these patients.

This study was designed as a proof of concept to show that gimistotug-based combination treatment may be able to improve responses and clinical benefit in patients with NSCLC. Treatments in all cohorts was administered up to 36 cycles (approximately 2 years) until participants experienced no benefits, too many side effects, or withdrew consent.

Conditions

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Non-Small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Gimistotug + Docetaxel

Participants received gimistotug and docetaxel 75 mg/m\^2 both by intravenous infusion once every 3 weeks until disease progression, intolerable toxicity, withdrawal of informed consent, or other discontinuation criterion were met.

Group Type EXPERIMENTAL

Gimistotug

Intervention Type DRUG

Administered intravenously

Docetaxel

Intervention Type DRUG

75 milligrams per square meter (mg/m\^2) administered intravenously

Gimistotug + BGB-15025

Participants received gimistotug by intravenous infusion once every 3 weeks and BGB-15025 orally once daily during each 3-week cycle until disease progression, intolerable toxicity, withdrawal of informed consent, or other discontinuation criterion were met.

Group Type EXPERIMENTAL

Gimistotug

Intervention Type DRUG

Administered intravenously

BGB-15025

Intervention Type DRUG

Administered orally

Interventions

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Gimistotug

Administered intravenously

Intervention Type DRUG

Docetaxel

75 milligrams per square meter (mg/m\^2) administered intravenously

Intervention Type DRUG

BGB-15025

Administered orally

Intervention Type DRUG

Other Intervention Names

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BGB-A445

Eligibility Criteria

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Inclusion Criteria

* Advanced or metastatic NSCLC (nonsquamous or squamous) that is histologically or cytologically confirmed
* Participants who have received no more than 2 lines of prior systemic therapies which must include anti-programmed cell death protein ligand-1 (anti-PD-(L)1) treatment and a platinum-based chemotherapy administered in combination with, or sequentially before or after the anti-PD-(L)1 treatment
* At least 1 measurable lesion as defined per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
* Adequate organ function as indicated by laboratory values during screening

Exclusion Criteria

* With mixed small cell lung cancer
* Has received prior therapy targeting OX40 or any other T-cell agonists
* Has received prior therapy containing docetaxel and/or ramucirumab for advanced or metastatic NSCLC
* Has received any Chinese herbal medicine or Chinese patent medicines used to control cancer ≤ 14 days before the first dose of study drug(s)
* Active leptomeningeal disease or uncontrolled and untreated brain metastasis

NOTE: Other criteria may apply
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BeiGene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

BeiGene

Locations

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Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status

Daping Hospital, Third Military Medical University

Chongqing, Chongqing Municipality, China

Site Status

Gansu Provincial Hospital

Lanzhou, Gansu, China

Site Status

The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine

Guangzhou, Guangdong, China

Site Status

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Site Status

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status

Union Hospital of Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

Affiliated Hospital of Jiangnan University South Campus

Wuxi, Jiangsu, China

Site Status

The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, China

Site Status

The Second Affiliated Hospital of Shandong First Medical University

Taian, Shandong, China

Site Status

Weihai Municipal Hospital

Weihai, Shandong, China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status

Shanxi Provincial Cancer Hospital

Taiyuan, Shanxi, China

Site Status

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status

National Cancer Center

Goyang-si, Gyeonggi-do, South Korea

Site Status

The Catholic University of Korea, St Vincents Hospital

Suwon, Gyeonggi-do, South Korea

Site Status

Severance Hospital Yonsei University Health System

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Countries

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China South Korea

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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CTR20233070

Identifier Type: OTHER

Identifier Source: secondary_id

BGB-LC-203

Identifier Type: -

Identifier Source: org_study_id

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